Individual
MARY PIEKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 DEMPSTER ST STE 330, PARK RIDGE, IL 60068-1127
(847) 655-8530
Mailing address
1875 DEMPSTER ST STE 330, PARK RIDGE, IL 60068-1127
(847) 655-8530
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125.079390
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2021
Last updated
06/17/2022
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